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Changes in Nerve Conduction Studies Predate Clinical Symptoms Onset in Early On...

Castro, J; Miranda, B; Castro, I; Conceição, I

Background and purpose: Hereditary amyloidosis related to transthyretin (ATTR) is a rare and progressive disease that, despite the phenotypic heterogeneity, a length-dependent sensorimotor axonal neuropathy (ATTR-PN) is the classic hallmark. Timely diagnosis is paramount for early treatment implementation. Methods: Sixty-nine asymptomatic gene carriers (Val30Met) were assessed during a 4-year period to identify...


Functional genetic variants in atg10 are associated with acute myeloid leukemia

Castro, I; Sampaio-Marques, B; Areias, AC; Sousa, H; Fernandes, Â; Sanchez-Maldonado, JM; Cunha, C; Carvalho, A; Sainz, J; Ludovico, P

Acute myeloid leukemia (AML) is the most common acute leukemia, characterized by a heterogeneous genetic landscape contributing, among others, to the occurrence of metabolic repro-gramming. Autophagy, a key player on metabolism, plays an essential role in AML. Here, we examined the association of three potentially functional genetic polymorphisms in the ATG10 gene, central for the autophagosome formation. We sc...


Interleukin-10 induces interferon-γ-dependent emergency myelopoiesis

Cardoso, A; Martins, AC; Maceiras, AR; Liu, W; Castro, I; Castro, AG; Bandeira, A; Di Santo, JP; Cumano, A; Li, Y; Vieira, P; Saraiva, M

In emergency myelopoiesis (EM), expansion of the myeloid progenitor compartment and increased myeloid cell production are observed and often mediated by the pro-inflammatory cytokine interferon gamma (IFN-γ). Interleukin-10 (IL-10) inhibits IFN-γ secretion, but paradoxically, its therapeutic administration to humans causes hematologic changes similar to those observed in EM. In this work, we use different in vi...


The Dynamics of Interleukin-10-afforded protection during dextran sulfate sodiu...

Cardoso, A; Castro, A; Martins, AC; Carriche, GM; Murigneux, V; Castro, I; Cumano, A; Vieira, P; Saraiva, M

Inflammatory bowel disease encompasses a group of chronic-inflammatory conditions of the colon and small intestine. These conditions are characterized by exacerbated inflammation of the organ that greatly affects the quality of life of patients. Molecular mechanisms counteracting this hyperinflammatory status of the gut offer strategies for therapeutic intervention. Among these regulatory molecules is the anti-...


Acidose Tubular Renal Distal e Surdez Neurossensorial com Mutação no Gene ATP6V1B1

Periquito, I; Casimiro, A; Santo, C; D’Elia, C; Abranches, M; Castro, I

A acidose tubular renal distal é uma doença rara, caracterizada pela incapacidade na acidificação da urina, condicionando acidose metabólica hiperclorémica, hipocaliémia, hipercalciúria e nefrocalcinose, o que poderá causar atraso de crescimento, alteração do metabolismo ósseo e insuficiência renal crónica. A acidose tubular renal distal associada a surdez neurossensorial é uma doença de herança autossómica rec...



Síndrome de Bartter. Uma Nova Abordagem Terapêutica

Mendonça, M; Pinheiro, A; Castro, I

A Síndrome de Bartter é uma tubulopatia hereditária perdedora de sal, rara (cerca de 1,2 novos casos por 100 000 nados vivos por ano1), caracterizada por alcalose metabólica, hipocaliémia, hiperreninémia e hiperaldosterolémia de gravidade variável. A indometacina e elevadas doses de potássio oral têm sido até hoje as estratégias terapêuticas usadas, com elevado risco de lesão gastrointestinal. Desde Abril de 20...


Um Caso Raro de Hematúria

Mascarenhas, A; Castro, I

A infestação por Schistosoma haematobium é comum em países africanos e no oeste asiático. Sua fase crónica é caracterizada pela deposição de ovos do parasita em vários tecidos do organismo com resposta inflamatória, formação de granulomas e fibrose. Afecta frequentemente as vias urinárias, apresentando-se com hematúria, e, em fases terminais, com insuficiência renal por obstrução urinária e, em último caso, neo...


Clinical Dilemma in the Treatment of a Patient with Microangiopathic Haemolytic...

Gomes, D; Viegas, V; Castro, I

While haemolytic uraemic syndrome in children is predominantly associated with Shiga toxin -producing Escherichia coli (typically 0157:H7), some cases occur without associated diarrhoea, or as the manifestation of an underlying disorder other than infection. Haemolytic uraemic syndrome is characterised by microangiopathic anaemia, thrombocytopaenia and renal failure, on occasion accompanied by severe hypertensi...


Recomendações para o diagnóstico, tratamento e monitorização da leucemia mielói...

Almeida, A; Castro, I; Coutinho, J; Guerra, L; Marques, H; Pereira, AM

Chronic Myeloid Leukemia (CML) is a clonal stem cell disease characterized by the expression of the fusion protein bcr-abl1, which has deregulated tirosine-kinase activity. Tyrosine kinase inhibitors (TKIs), and in particular imatinib, introduced fundamental changes in the treatment of CML, becoming, in most cases, the first-line treatment of choice in the chronic phase of this disease. Compared to other availa...


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